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. 2024 Jan;28(1):154-163.
doi: 10.1007/s10461-023-04145-6. Epub 2023 Aug 23.

Predictors of Viral Suppression Among People Living with HIV in Rural Oregon

Timothy W Menza  1   2 , Ann Jensen  3 , Lindsay K Hixson  4
Affiliations

Predictors of Viral Suppression Among People Living with HIV in Rural Oregon

Timothy W Menza et al. AIDS Behav. 2024 Jan.

Abstract
in English, French

With recent outbreaks of HIV in rural areas of the United States, it has become increasingly important to understand the factors affecting health outcomes of people with HIV living in rural areas. We assessed predictors of durable HIV viral suppression among rural participants using a pooled 7-year dataset from the Medical Monitoring Project (MMP), a cross-sectional, representative sample of individuals receiving HIV medical care in Oregon. Only 77.3% of rural participants achieved durable HIV viral suppression, while 22.7% had at least one detectable HIV viral load measurement within the past 12 months. The primary predictors of viral suppression were ARV adherence, poverty, and reported heavy drinking in the past 30 days. These results highlight the influence of social factors on health outcomes for persons with HIV living in rural areas and inform areas for policy and program change.

Con los brotes recientes de VIH en áreas rurales de los Estados Unidos, se ha vuelto cada vez más importante comprender los factores que afectan los resultados de salud de las personas con VIH que viven en áreas rurales. Evaluamos los predictores de la supresión viral del VIH duradera entre los participantes rurales utilizando un conjunto de datos combinados de siete años del Proyecto de Monitoreo Médico (MMP), una muestra transversal y representativa de personas que reciben atención médica para el VIH en Oregón. Solo el 77,3% de los participantes rurales logró una supresión viral del VIH duradera, mientras que el 22,7% tuvo al menos una medición detectable de la carga viral del VIH en los últimos 12 meses. Los predictores primarios de la supresión viral fueron la adherencia a los ARV, la pobreza y el consumo excesivo de alcohol informado en los últimos 30 días. Estos resultados destacan la influencia de los factores sociales en los resultados de salud de las personas con VIH que viven en áreas rurales e informan las áreas para el cambio de políticas y programas.

Keywords: HIV health outcomes; Rurality; Social factors; Viral suppression.

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